Doctor insights on:
Depression Without Suicidal Thoughts

1

Antidepressants may:
Help, but it is still important to explore and resolve what the suicidal thoughts are about. Medication alone is seldom the best treatment for depression. Talk to a mental health professional.
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Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent medical attention is required.
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3

Clearly:
This is not something that can be handled online. Your medications are not helping enough, and you need to see a psychiatrist asap for complete evaluation and treatment. If currently having suicidal thoughts or thoughts of violence towards others, please go to an emergency room for evaluation. Please get a friend or family member to drive you, or call 911.
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4

See a psychiatrist:
These may be symptoms of major depressive disorder or other psychiatric disorders. It is important to seek help from a psychiatrist or get a referral from your primary care doctor. Suicidal thoughts should be evaluated immediately. Call your doctor or go to an emergency room.
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5

Need more info.:
You need to be seen for an evaluation to determine what's causing suicidal thoughts and depression. Treatment including meds will follow assessment. Each person is different and often complicated. Seroquel (quetiapine) may help with psychotic symptoms, eg, hallucinations, delusional thoughts. An antidepressant and/or other treatment may be better for you. Please go to urgent care or ER now for help. Be safe.
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7

Psychotic:
Paranoia may make you distort reality in a delusional (fixed false belief) or psychotic kind of way. Depression may or may not be psychotic depending on severity and type of accompanying symptoms. Some depressed people, for instance, may think they're already dead. Obviously this is a delusion since they're alive telling you they feel this way. Anxiety/ocd can be severe but not usually psychotic.
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8

Yes:
Information on these forms helps the student health service respond more helpfully to you. Physicians and nurses staffing the student health service need to know your past medical history, the same as your primary care doctor would. Symptoms of depression, anxiety, and suicidal thoughts count as medical issues needing care. There may be student health psychiatrists on staff as well.
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9

First things First.:
You can call the national suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255). If you are suicidal please have a friend or relative drive you to the nearest emergency room or call 911 for transport. Help is available. If you aren't working with a psychiatrist that is a must.
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11

Get professional :
Help. If you have a plan that you might carry out or if your thoughts are scaring you - please go to your nearest er now. Have a friend or relative drive you. If you need to call 911 for transport - that is ok too. If it is not an imminent issue, please find a psychiatrist or psychologist in your area. This is treatable and you are worth it. Take care.
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13

Seek help ASAP:
It sounds that you need help asap. Find a professional -- psychologist and psychiatrist to help you manage your symptoms. If you feel that it's difficult to control your suicidal thoughts, or any of your symptoms are unmanageable, please dial 911 or go to the nearest emergency room, where staff will assess you and find you appropriate referrals.
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14

Suicide:
1 (800) 273-8255
National Suicide Prevention Lifeline
Hours: 24 hours, 7 days a week
Languages: English, Spanish
Website: www.suicidepreventionlifeline.org
ALL LIFE IS PRECIOUS. CALL THEM RIGHT THIS MINUTE!!!!
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15

In addition to the:
medical advice already given,please see a mental health professional for evaluation for possible Obsessive Compulsive Disorder,especially if you are trying to ward off impending danger that you may not even be able to identify. Peace and good health.
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16

See below:
Are these new or old symptoms? Are you or have you started any new medication? Tried any new drugs? All these things potentially might have an effect on you. It's always a good idea to rule out anything medical going on. You might want to schedule an appointment with your primary care doctor for a complete work up and then take things from there. Good luck!
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17

Get referral:
No individual advice, but deep breathing techniques will decrease intense anxiety for most. There's even apps for that, unwanted and frightening thoughts can be indicants of an anxiety disorder, such as an obsessive-compulsive disorder, or simply a stress reaction. Medical issues, drugs, and medications should be assessed. Cognitive behavioral therapy by a psychologist is often very effective.
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18

Yes:
Feeling like someone is alone in the world can encourage depression, hopelessness and even suicidal thoughts and actions. We are meant to live in meaningful relationships with others.
Cultivate social relationships:
join a depression support group
volunteer for a cause that you believe in or for people in need--you will meet others with similar values
find out about and go to social events.
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19

In young patients:
Anti-depressant medications like Prozac (fluoxetine) have been found to increase suicidal thoughts and behaviors in children and adolescents under the age of 25, especially when they start this medication. This trend is not seen in adults over the age of 25 and anti-depressants may decrease suicidal behavior in older adults over 65.
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21

Cutting is risky:
I'm so sorry to hear about your depression. It is a very difficult problem but there is treatment to help you. Counseling and medications work hand-in-hand to improve your symptoms. Cutting is a risk factor for suicide. Please get help. If hopeless or considering suicide, please call 1-800-suicide 24/7 where a counselor is on the line to help talk you through it.
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22

Things to say:
A teen who is depressed and suicidal needs someone to listen to them and get them help:
some things you can say to a severely depressed teen:
1) there is always another solution even if you can't see it right now
2) having thoughts of hurting yourself or others does not make you a bad person
3) if your feelings are overwhelming, tell yourself to wait 24 hours before taking any action.
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23

Depression Tx:
You can find a local psychologist here http://locator.Apa.Org/. Often medication can help during a time like this. Your psychologist or physician can recommend a psychiatrist, if you’re interested in exploring medication options. If you feel like you are in crisis, please go to the nearest er or call 911. Suicide hotline 800-273-talk.
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24

Mental health profes:
Seek help immediatey from a mental health professional like a psychologist, psychiatrist or counselor. If yhaving suicidal thoughts, seek help at an emergency center or call a mental health helpline immediately!
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26

Talk to a therapist:
Or psychologist to figure this out. Suicidal thoughts and feelings are serious & should not be ignored. Why these thoughts & feelings are happening cannot be answered here. Talk to a mental health professional right away.
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27

See below:
National suicide prevention hotline 1-800-273-talk. I would encourage you to talk to a primary care doctor to get a referral for a psychologist/or a qualified mental health professional to figure out what's happening with you. If thoughts of suicide become overwhelming, please dial 911 or go to the nearest emergency room -- they will do psych eval at the er and discuss options with the person.
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28

Please get help:
It is a sign of maturity and good sense that you are raising this question. Often is hard to tell on your own if you require hospitalization. Certainly, when in doubt a professional mental health evaluation is in order. You can always go to a hospital or call 911 if there is immediate concern about suicidal thoughts or behavior. Treatment does work for these conditions and you should get help.
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29

Serious symptoms:
You should see a mental health care provider asap. If you are having suicidal thoughts, call 911 for help immediately. Therapy and medications can greatly help your symptoms. Good luck!
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30

Sorry. Seek help.:
I am incredibly sorry to hear that u have been suffering for so long. If u have not already sought a psychiatric evaluation and treatment, please do asap. If u are consistently in treatment, but only doing either psychotherapy or taking medications, please consider combination treatment. If despite combination treatment, u are not feeling better, get a second opinion. Don't delay. Good luck.
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31

If you are having:
Thoughts about killing yourself, please be seen at the nearest emergency room now. Have a friend or relative drive you. If need be, you can call 911 for emergency services ; they can provide transport. You can call the national suicide hotline 24/7 at 1-800-273-8255. Your dr can assess
for mood disorder ; underlying medical conditions that may be causing symptoms. Talking therapy (cognitive >.
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32

Depression is a :
Possible side effect of aviane. Suicidal ideations sometimes occur with depression.If you are having
thoughts about killing yourself, get seen at the nearest emergency room now. Have a friend or relative drive you or call 911 for emergency services for transport. You can call the national suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255) for support.
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34

Yes:
Feeling like someone is alone in the world can encourage depression, hopelessness and even suicidal thoughts and actions. We are meant to live in meaningful relationships with others.
Cultivate social relationships:
join a depression support group
volunteer for a cause that you believe in or for people in need--you will meet others with similar values
find out about and go to social events.
...Read more

40

Yes:
If you are having suicidal thoughts, you should be evaluated by a mental health professional. There are inpatient psychiatric units in many hospitals for treatment of severe depression.
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Suicide is the act of deliberately taking one's own life. Suicidal behavior is any deliberate action with potentially life-threatening consequences, such as taking a drug overdose or deliberately crashing a car.
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